Coronial

746 results for psychiatric treatment

VICcommunity2016-05-05

Finding into death of David Scrofano

41y · Male·Pheniramine toxicity

…drug toxicity. Clinical lessons include: the diagnostic difficulty in distinguishing drug toxicity from psychiatric illness or intoxication in acute presentations; the importance of comprehensive medication history and …

forensic medicinetoxicologydiagnosticcommunicationpheniramine
WAmental health2015-12-31

Inquest into the Death of Anthony Ian EDWARDS

Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…

Five psychiatric patients from Alma Street Centre (Fremantle Hospital) died by suicide within 12 months (March 2011-Marc…

psychiatryemergency medicinediagnosticcommunicationantidepressants
VICmental health2015-07-03

Finding into death of Anthony Travaglini

40y · Male·combined drug toxicity in a man with asthma (undiagnosed) and sleep apnoea

…oaffective disorder, severe sleep apnoea, and undiagnosed asthma, died from combined drug toxicity on a psychiatric high-dependency unit. Critically, his earlier clinical records documenting sleep apnoea were not availa…

psychiatryrespiratory medicinesystemcommunicationzuclopenthixol
WAmental health- 11 April 2014

Inquest into the Death of Ritchie GORDON

49y · Male·unascertainable; possible explanations include epileptic seizure, cardiac arrhyt…

Ritchie Gordon, a 49-year-old Aboriginal man with chronic schizophrenia, was a long-term involuntary psychiatric patient at Graylands Hospital who died on 12 July 2005 of unascertainable cause. Possible explanations …

psychiatryforensic medicineclozapine
ACThospital2023-05-19

Inquest into the death of NICOLE LOUISE ABBOTT

43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…

…piratory and cardiac failure, exacerbated by smoking and obstructive sleep apnoea. She was subject to a Psychiatric Treatment Order for schizophrenia at time of death. The coroner found care provided by Calvary Hospital…

psychiatrycardiologyzuclopenthixol
WAhome2021-03-25

Inquest into the Death of FJ (Name Subject to Suppression Order)

35y · Female·multiple injuries sustained in fall from sixth-floor balcony

… at age 35 in November 2016. Key clinical lessons include: (1) the critical importance of continuity of psychiatric care during transitions between healthcare systems—FJ lost access to private psychiatry when leaving im…

psychiatrygeneral practicecommunicationsystemlithium
NSW2017-08-31

Inquest into the death of David WOTHERSPOON

31y · Male·Hypoxic encephalopathy caused by neck compression due to hanging

…ve error; failure to use Mental Health Act powers to compel medication when he was clearly psychotic and treatment-resistant; inadequate monitoring of a high-risk cell; presence of ligatures despite known self-harm risk…

psychiatrycorrectional healthsystemcommunicationrisperidone
SAhospital2020-06-25

Coroner's Finding: ASHTON Lorraine June

78y · Female·advanced dementia (end stage)

…3 September 2017. She had Primary Progressive Aphasia diagnosed in 2014 following non-Hodgkin's lymphoma treatment. After admission to RGH on 23 August 2017 with escalating behavioural disturbances including agitation, …

psychiatrygeriatric medicineoxazepam
SAcommunity2001-06-02

Coroner's Finding: MacLEOD Grant Alistair

38y · Male·Internal haemorrhage complicating large calibre gunshot wounds to the neck

Grant MacLeod, aged 38, died from a gunshot wound to the neck inflicted by Constable Mark Buckingham during a police response to reports of an armed person at a service station. MacLeod had suffered severe head injury in…

psychiatryforensic medicinesertraline
VIChospital2015-12-09

Finding into death of Benjamin David Johnston

36y · Male·Global hypoxic brain injury due to hanging

Benjamin Johnston, a 36-year-old male, died by hanging after six weeks of varenicline (Champix) treatment for smoking cessation. Two weeks before death, his partner noted significant behavioral changes: withdra…

general practicepsychiatryvarenicline
VIChospital2017-06-07

Finding into death of Samer Rony Damouni

21y · Male·Compression of the neck consequent upon hanging

…llowing absconding from hospital. He was admitted to Casey Hospital ED on 12 July 2015 on an involuntary treatment order, having absconded twice in the preceding three days. Staff were warned by his mother that he might…

psychiatryemergency medicinecommunicationsystemmethamphetamine
NSWmental health2024-09-30

Inquest into the disappearance and suspected death of KL

62y · Male·not stated - body never found

… long history of depression, anxiety, and alcohol use disorder, was admitted to St Vincent's Hospital's psychiatric units (PECC and Caritas) in June 2020 following suicidal ideation. After approximately two weeks of tre…

psychiatrygeneral practicecommunicationsystemvenlafaxine
NT2016-06-08

Inquest into the death of Madeline Downman

17y · Female·self-inflicted hanging

…, 17-year-old Aboriginal girl in state care, died by hanging at a residential facility. She had complex psychiatric needs including depression, trauma, self-harm, and substance abuse, with four years of unstable placeme…

psychiatrypaediatricscommunicationsystemmarijuana
VICcommunity2021-04-14

Finding into death of JJ

70y · Male·Hanging

…, and was discharged with antidepressant therapy and community follow-up. However, he ceased taking his psychiatric medications and died by hanging 3 days after discharge. The coroner found that while Alfred Health's ca…

psychiatryendocrinologycommunicationsystemvenlafaxine
TAScommunity2020-08-07

Coroner's Finding: Delios, Voula 2020 TASCD 458

63y · Female·Multiple stab wounds to neck and chest

…umenting paranoia, hallucinations, aggression and self-harm threats. Critical clinical lessons include: psychiatric assessment gaps when prisoners transferred between jurisdictions (Cook's prior mental health history an…

psychiatrycorrectional healthdiagnosticsystemolanzapine
VICmental health2014-12-23

Finding into death of David John McLeod

58y · Male·Cardiomegaly and severe single vessel coronary artery atherosclerosis in a man w…

David John McLeod, a 58-year-old man with schizoaffective disorder, was admitted to a psychiatric inpatient unit on 21 August 2012 following mental health deterioration. He presented with signs of infe…

psychiatrygeneral medicinerisperidone
NSWcommunity2025-08-08

Inquest into the death of Stephen Douglas

62y · Male·Multiple sharp force injuries intentionally inflicted by client during home visi…

… multiple systemic failures: no psychiatrist review of Kemball occurred for 6 months after his Community Treatment Order expired (June 2019), despite known risk of deterioration; no formal mental health shared care plan…

psychiatrygeneral practicediagnosticsystempaliperidone
NThospital2015-07-10

Inquest into the death of Clare Harrison

29y · Female·multi-lobe community acquired pneumonia and respiratory failure

…dical deterioration. After involuntary admission on 13 January when cognitive impairment interfered with treatment decisions, the team deliberately avoided nasogastric feeding despite her severe malnutrition due to her …

psychiatrygeneral medicineantibiotics
TAShospital2023-04-13

Coroner's Finding: Leader, Andrew

60y · Male·sepsis/leg cellulitis with peripheral oedema and congestive cardiac failure in t…

Andrew Leader, a 60-year-old man with treatment-resistant schizophrenia, emphysema, COPD, chronic hyponatraemia, and heart failure, died of sepsis from …

general medicinepsychiatry
VICaged care2015-05-18

Finding into death of Krizan Vuksan

75y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis; acute myoc…

…that impacted the cause of death. However, concerns were raised about discharge planning from inpatient psychiatric care being incomplete and precipitous, causing distress requiring intramuscular sedation. The autopsy c…

psychiatrygeneral practicecommunicationsystemolanzapine
113141538

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